It is the policy of the Dr. John Warner Hospital to follow specific guidelines related to financial assistance for hospital services so that all patients are treated fairly.
WHAT IS FINANCIAL ASSISTANCE?
Financial Assistance is a program to provide medical care for free or at a reduced cost if the recipient of the care is not able to pay fully for the services received.
Financial Assistance may not cover services that are provided by independent medical personnel such as Radiologists, Pathologists, Anesthesiologists, Out-Patient Clinic Physicians, or Emergency Room Physicians not employed by the hospital.
HOW DO I QUALIFY FOR FINANCIAL ASSISTANCE?
Eligibility will be based on the income guidelines and your personal assets without regard to race, color, creed, religion, national origin or handicap. You must have exhausted any private health care coverage or government health care coverage available (such as Medicare and Public Aid).
FINANCIAL ASSISTANCE GUIDELINES
Hospital Administration has established guidelines to assess the eligibility for discounted or free care defined as financial assistance.
Applicants are to be counseled as to the availability and their eligibility for third-party payment programs such as Medicare, Public Aid, SSI, etc. to ensure that all other sources of reimbursement have been exhausted prior to the approval of financial assistance.
WHAT YOU MUST DO
Applicants are required to submit the following documentation to be considered for financial assistance:
1. A completed Dr. John Warner Hospital Financial Statement Form
2. Most recent federal income tax return and related W-2’s and 1099’s
3. Check stubs from most recent paychecks or unemployment checks or Social Security statements relating to the last two (2) months
4. Forms approving or denying unemployment (if applicable)
5. Divorce decree stating alimony or child support received (if applicable)
6. Checking and/or savings account statements (past 3 months)
7. Public Aid letter approving/denying coverage
All financial assistance applicants will be referred to the hospital’s business office.
To open the Financial Statement Form or the Financial Assistance Checklist you may need to install ADOBE Reader
Click here to download and install ADOBE Reader. This
is a free download
The Business Office is open from 7:30 a.m. to 4:00 p.m. Monday through Friday. For more information regarding our Financial Assistance program, please contact a Patient Service Representative at 217-935-9571, ext. 3311.
Our Mission
Committed to personal, compassionate care for you, our friends and neighbors.
DJWH Values
We value compassion which allows us to empathize with others and meet their individual needs.
We encourage professionalism through appearance, actions, competence, and continued education driven by personal growth.
We believe in collaboration of all members of the healthcare team to deliver comprehensive medical services to the community.
We respect everyone’s dignity by valuing privacy and confidentiality.
We value the efficient use of resources and encourage cost containment by each individual while maintaining quality patient care.